Tel: 07747654280Key points:1. Type 2 diabetes can be preventable.2. Diagnosis of pre-diabetes or at risk status may enable behaviour change.3. Increased provision of education and support is required to motivate lifestyle change in the person with pre-diabetes.Key words: Type 2 diabetes; pre-diabetes; motivation; lifestyle; education; support Abstract Type 2 diabetes is a growing global problem that not only affects individuals but has an impact upon the economic health of countries 1 . The number of people developing type 2 diabetes can be reduced by up to by 80%; this can be achieved by targeting those who are "at risk" 2. This reduction can be achieved by appropriate lifestyle changes to diet and physical activity 3. It is not known what the impact of being informed that you have prediabetes has on a patients motivation to make appropriate lifestyle changes.The aim of this study was to assess whether having the diagnosis of pre-diabetes encourages or empowers people to make appropriate lifestyle changes to prevent progression to a diagnosis of type 2 diabetes.Using a systematic approach, an integrative literature review was undertaken, using a standard retrieval and appraisal method. The studies demonstrated that pre-diabetes was found to be a challenging concept by patients and nurse alike. Lack of knowledge and support, along with patient's perceived barriers had an impact upon the various motivation and self-efficacy behaviours towards lifestyle changes.